Central Sterile Supply Department

Hani Jokhdar, MD.

Consultant of Communicable Disease Control

Responsibilities
Processing of all reusable hospital
instruments and equipments.
Distribution of all processed
i t
instruments
t and
d equipments
i
t tto allll
hospital departments.

Functions
Sorting
S
ti
Decontaminating
g
Inspection and packaging
Sterilizing
l
Storing
Delivery
Inventory

Staff
Administrative staff
Technical staff
Support staff

Location, design and layout

Close proximity to the operating
theatres
Design; total separation between the
d
decontamination
t i ti area and
d the
th restt off
the department
Unidirectional flow
Storage area

Decontamination area
Dress code
Special precaution
HEPA filters
Ventilation system (ACH = 10)
10)
Temperature (16
(16 - 20
20)

Assembly area
Dress code
Ventilation; +ve pressure, ACH = 6
Inspection and packaging takes place
Wrapper quality:

Impervious to microbes, dust, moisture

and soil.
Strong to resist puncture and tears
Minimal or low linting
Allow suitable printing or labeling

Sterilization
ETO
Steam sterilizer
Plasma sterilizer

Quality control for sterilization

Physical monitoring
Chemical monitoring
Biological monitoring

Storage
Location should be adjacent to
sterilization area
Limited access
Enclosed
Well ventilated; +ve pressure (ACH =
10),
10
), humidity 3535-50
50%
%
Proper labeling
l b l

Maintenance
Preventive maintenance
Sterilizers inspection and cleaning
Temperature and pressure calibration
(biannual or as needed)

Reuse of single use items

Factors to be considered:
Easiness in cleaning
Long narrow lumens
Chemical
Ch i l coating
ti
Integrity and compatibility of the
material
Instrument performance
p